Warren Silberman

Former Manager, FAA Aerospace Medical Certification

Doctor of Osteopathic Medicine

Expert in Aerospace/Preventive Medicine

Pilot since 1986

You all should know that there are two types of waivers that the FAA can issue. One called a Statement of Demonstrated Ability, or SODA for short, is issued for conditions that are stable such as a one-eyed (monocular vision) pilot, and generally require a “medical flight test” (MFT). This test is usually given by an Aviation Safety Inspector at your local Flight Standards District Office (or FSDO). The other type of waiver is a Special Issuance Authorization that is given for conditions that can change over time, an example being diabetes. For these conditions, airmen provide evaluations and tests to demonstrate that they are safe. These are reviewed at the FAA's Aerospace Medical Certification Division or Regional Medical Offices and waiver letters (Authorization Letters) are issued. The medical certificates that the airman receives are generally time-limited as the airman must redemonstrate with regular testing that they are safe to fly..

Here is the list of “mandatory disqualifying conditions:

Angina Pectoris

Bipolar Disorder

Coronary artery disease that has required treatment or is symptomatic

Diabetes Mellitus that requires insulin or oral medications for treatment

Disturbance of Consciousness without adequate explanation

Epilepsy

Heart transplant

Myocardial infarction (heart attack)

Permanent Cardiac Pacemaker

Personality disorder manifested by overt acts

Psychosis

Substance abuse

Substance dependence

Transient loss of nervous system function

Valve replacement

The FAA will grant a special issuance for the majority of those conditions. Please check the AOPA medical certification website or call the folks at AOPA to get an answer to a specific question about any of these conditions.

For more information on the AOPA Pilot Protection Services program, visit www.aopa.org/pps.

Dr. Warren Silberman is the former manager of FAA Aerospace Medical Certification and a doctor of osteopathic medicine. A pilot since 1986, he is recognized nationally as an expert in aerospace/preventative medicine, and is a regular writer forAOPA’s Pilot Protection Services.

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Fellow members, your AMEs should know exactly what these conditions are, but I am here to let you all in on them! Part 67.401 in simple English says that if an airman has a specifically disqualifying medical condition the pilot must demonstrate to the Federal Air Surgeon that he/she is safe to fly for the duration of that medical certificate. In order to demonstrate this, the airman may need to provide evaluations and testing. Once the airman is granted a waiver, they must re-demonstrate that they are safe to fly at regular intervals.